PCN Advanced Nurse Practitioner

Job responsibilities

Vision and values

The aim of the NLPCN is to offer high quality patient-centred healthcare which is committed to bringing together GP practices so that they can work more effectively with others.

Our ambition is to reduce inequalities in healthcare and improve the quality of health and wellbeing throughout North Lewisham through increased access to high quality, integrated health and social care.

As a PCN, NLPCN operates as part of the local accountable integrated care system, working and collaborating with GP practices, a wide range of healthcare professionals, social services professionals as well as local community groups. This enables us to not only focus on direct health services but also on the social and other issues that impact on health, thereby enhancing the health and wellbeing of patients and the community.

We expect all our staff to share the values that are important to the PCN:

Equity of quality and equity of access for all residents in and around North Lewisham

Providing proactive, personalised and coordinated care

Protecting and supporting general practice whilst also supporting transformation

Collaborating and engaging with others to spur on innovation and sustainable working.

The Role

We are looking to recruit to the post of Advanced Clinical Practitioner Nurse, to work within our Primary Care Network multidisciplinary healthcare team.

Main Role Responsibilities

The following are the core responsibilities. However, there may, on occasion, be a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels.

Clinical Care Delivery

Provide a first point of contact within the PCN/practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision making, to establish a diagnosis and management plan

Make professionally autonomous decisions for which you are accountable

Instigate necessary invasive and non-invasive diagnostic tests or investigation and interpret findings/reports

To prescribe safe, effective and appropriate medication as defined by current legislative framework

Provide safe, evidence-based, cost effective, individualised patient care

Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care

Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills

Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person

Refer patients directly to other services within or outside the PCN, and agencies as appropriate

Participate in developing and delivering specialist primary care services such as long-term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension).

Work with nursing, medical and health care assistant colleagues across the PCN to ensure that National Service Frameworks (e.g. Coronary Heart Disease/Older People/Diabetes/Mental Health) are being delivered

Work with the PCN multi-disciplinary teams as well as those within the PCN member GP practices and across the wider CIC, to promote integrated and seamless pathways of care

Contribute to the PCN achieving its quality targets to sustain the high standards of patient care and service delivery

Participate in identification of community health needs and develop patient/family-centred strategies to address them in liaison with appropriate community health professionals and agencies

Be aware of and contribute to, planning and delivery of practice-based commissioning

This is not an exhaustive list and may be amended dependent on staff competency and service need

ANPs cannot provide care to pregnant women if this involves assessment of the pregnancy, unless they are also a practicing midwife meeting the NMC requirements of registration.

Professional role

Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research

Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review

Maintain their professional registration

Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained

Work within the latest NMC Code of Professional Conduct

Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards

Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation

Pro-actively promote the role of the Advanced Nurse Practitioner within the PCN Community ward and externally to key stakeholders and agencies

Participate in multi-disciplinary protocol and patient group directions development

Identify appropriate opportunities to delegate both clinical and administrative tasks to more junior staff

Help the PCN operate in a cost effective manner

Identify and manage nursing care risks on a continuing basis

Participate in PCN meetings

Participate in audits and inspections as appropriate

Work closely with the clinical leads and administrative managers in the setting up and/or improving of systems for monitoring/measuring performance against the indicators for the domains and areas outlined in the current IIF

Work with the PCN member GP practices to assist them meet Clinical Governance and Quality Indicator targets

Ensure that all PCN policies are fully implemented

Work collaboratively with colleagues within and external to the PCN

Participate in audits and inspections as appropriate

Ensure that all PCN policies are fully implemented

Qualifications

Essential

• Current RGN Registration
• Membership of a professional body e.g. RCN
• Advanced Nurse Practitioner Degree or BSc in Emergency Care (or equivalent)
• Independent Non- Medical Prescriber Qualification (V300)

Desirable

• Advanced Nurse Practitioner MSc or working towards

Experience

Essential

• Previous primary care experience
• Experience of nurse led minor illness and triage
• Team working
• Meeting deadlines
• Prioritising workload

Desirable

• Minimum of 2 years administration experience in any setting
• Experience of working with local North Lewisham community
• Experience of General Practice
• Supervisory and management experience
• Experience of managing chronic disease
• Work within a multicultural environment
• Experience of clinical audit, evaluation research and implementation of evidence-based practice
• Worked within teaching/training environment.

Competency

Essential

• Communication and consultation skills
• Practising holistically
• Data gathering and interpretation
• Making a diagnosis or decision
• Managing medical complexity
• Clinical management lead
• Project management and leadership
• Working in a team
• Community orientation
• Continuous professional development
• Maintaining an ethical approach
• Fitness to practise
• Clinical examination and procedural skills
• Learning and development
• PCN Core values

Desirable

• Knowledge of local health services/providers
• Competency and interest in digital solutions to health and be able to promote these

Abilities/Skills

Essential

• A sound understanding of the national and local health agenda
• Willingness to undertake training at a higher level if necessary
• Willingness to participate in clinical supervision and performance review
• Awareness of the legal and ethical issues of the role
• Excellent interpersonal and communication skills
• Ability to work effectively in a multidisciplinary team as a key player
• Skills in clinical examination and diagnostic techniques
• Information technology skills

Desirable

• IT experience / computer skills
• Willingness to undertake training at a higher level if necessary
• Work within a multicultural environment
• Awareness of clinical governance issues in primary care

Qualities/Attributes

Essential

• Ability to work effectively with other members of the team and other partners and agencies
• Commitment to on-going personal and professional development
• Kindness- a commitment to improving care patients
• Going the extra mile
• Flexibility
• Resourceful
• Common sense
• Resilience

Desirable

• Ability to be self-directed and self-motivated

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).